Browsing by Author "Robinson, Ssebuufu"
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Item Open Access Behavioural Response To Self-Medication Practice Before and During Covid-19 Pandemic in Western Uganda(Patient Preference and Adherence, 2022) Samuel Sunday, Dare; Ejike, Daniel Eze; Isaac, Echoru; Ibe Michael, Usman; Fred, Ssempijja; Edmund Eriya, Bukenya; Robinson, SsebuufuBackground: Self-medication has become a serious public health problem posing great risks, especially with the increasing number of cases of COVID-19 disease globally and in Uganda. This may be partly because of the absence of a recognized treatment for the disease, however, the differing prevalence and nature from country to country may influence human behavioral responses. Purpose: This study aimed to investigate the behavioral response to self-medication practices during the COVID-19 pandemic and lockdown in comparison to the pre-COVID period in Western Uganda. Methods: A descriptive cross-sectional survey was conducted from June to August 2020 in western Uganda using online Google forms and printed questionnaires to investigate the level of self-medication practice before and during the COVID-19 pandemic. This included 280 participants, aged 18 and above who consented to participate in the study. Participants were selected using a convenience sampling technique, and sampling was done by sending a structured online questionnaire via Google forms and printed questionnaires to participants who did not use the online Google forms. Results: Respondents that knew about self-medication were 97% of the 272 participants. Those that are aware of self-medication, have heard about it either through different avenues. Respondents who practiced self-medication before the COVID-19 pandemic were 239 (88%); those who practiced self-medication during the COVID-19 pandemic were 156 (57%); those that did not were 115 (43%). There was a statistically significant decrease in the number of respondents who practice self-medication during the COVID-19 pandemic lockdown compared to the practice before the pandemic lockdown. p < 0.05 at 95% confidence interval (OR = 5.39, 95% CI = 3.48, 8.32). Conclusion: Our investigation showed adequate knowledge of self-medication and a high level of self-medication practice with a decrease in self-medication practices during the COVID-19 pandemic lockdown compared to the practice before the lockdownItem Open Access A Descriptive-Multivariate Analysis of Community Knowledge, Confidence, and Trust in COVID-19 Clinical Trials among Healthcare Workers in Uganda(MDPI., 2021-03-12) Keneth Iceland, Kasozi; Anne, Laudisoit; Lawrence Obado, Osuwat; Gaber El-Saber, Batiha; Naif E. Al, Omairi; Eric, Aigbogun; Herbert Izo, Ninsiima; Ibe Michael, Usman; Lisa M., DeTora; Ewan Thomas, MacLeod; Halima, Nalugo; Francis P., Crawley; Barbara E., Bierer; Daniel Chans, Mwandah; Charles Drago, Kato; Kenedy, Kiyimba; Emmanuel Tiyo, Ayikobua; Linda, Lillian; Kevin, Matama; Shui Ching, Nelly Mak; David, Onanyang; Theophilus, Pius; Linda, Lillian; Kevin, Matama; Shui Ching, Nelly Mak; David, Onanyang; Theophilus, Pius; David Paul, Nalumenya; Robinson, Ssebuufu; Nina Olivia, Rugambwa; Grace Henry, Musoke; Kevin, Bardosh; Juma John, Ochieng; Fred, Ssempijja; Patrick, Kyamanywa; Gabriel, Tumwine; Khalid J., Alzahrani; Susan Christina, WelburnBackground—misinformation and mistrust often undermines community vaccine uptake, yet information in rural communities, especially of developing countries, is scarce. This study aimed to identify major challenges associated with coronavirus disease 2019 (COVID-19) vaccine clinical trials among healthcare workers and staff in Uganda. Methods—a rapid exploratory survey was conducted over 5 weeks among 260 respondents (66% male) from healthcare centers across the country using an online questionnaire. Twenty-seven questions assessed knowledge, confidence, and trust scores on COVID-19 vaccine clinical trials from participants in 46 districts in Uganda. Results—we found low levels of knowledge (i.e., confusing COVID-19 with Ebola) with males being more informed than females (OR = 1.5, 95% CI: 0.7–3.0), and mistrust associated with policy decisions to promote herbal treatments in Uganda and the rushed international clinical trials, highlighting challenges for the upcoming Oxford–AstraZeneca vaccinations. Knowledge, confidence and trust scores were higher among the least educated (certificate vs. bachelor degree holders). We also found a high level of skepticism and possible community resistance to DNA recombinant vaccines, such as the Oxford–AstraZeneca vaccine. Preference for herbal treatments (38/260; 14.6%, 95% CI: 10.7–19.3) currently being promoted by the Ugandan government raises major policy concerns. High fear and mistrust for COVID-19 vaccine clinical trials was more common among wealthier participants and more affluent regions of the country. Conclusion—our study found that knowledge, confidence, and trust in COVID-19 vaccines was low among healthcare workers in Uganda, especially those with higher wealth and educational status. There is a need to increase transparency and inclusive participation to address these issues before new trials of COVID-19 vaccines are initiated